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Personal Finance (Not Investing) • Eye Exam Out of Network - Hit with MASSIVE Bill

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Recently I took my daughter to her first ever eye exam. Normally we would go to Target Optical, Costco, etc. pay around $100 for an exam and be done with it. As it was her first appointment ever, I figure I'd take her to the Optometrist that's part of our massive healthcare "chain" since it's a slightly better/calmer environment.

I (stupidly) did not check if they were in-network with our vision insurance. I was never even asked about vision insurance at the clinic.

Well, I received a bill for $600 from the clinic for a basic eye exam as they ran the claim through my health insurance on file and it obviously came back as NOT COVERED. The clinic is not in-network with our vision insurance.

This is really infuriating. I realize ultimately it was my mistake, but why am I getting charged the "insurance billed" price rather than some sort of cash/uninsured price? I know I can submit it as an out of network reimbursement and get maybe $30-40 back.

I am going to call this week but I always like to be armed with as much information as possible beforehand, especially any strategies people here have used, before I reach out.

Much appreciated everyone - tough weekend for us and receiving this bill on a Saturday at 4pm didn't help!

Statistics: Posted by sergio — Sun Aug 18, 2024 10:06 am — Replies 27 — Views 1076



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